SHELL MALAYSIA TRADING SDN. BHD. SHELL ......BORANG KEMASKINI KAD SHELL BERSUBSIDI STEP 1 – FILL...

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(Tarikh) * TYPE OF REQUEST () * Jenis Permohonanan () *CARDHOLDER'S NAME (SKDSxxxxxxxxxx) / CARD NO (Max 22 characters) *Nama Tertera Pada Kad (SKDSxxxxxxxxxx) / Nombor Kad Shell (Maksimum 22 huruf) *VEHICLE REGISTRATION NUMBER *Nombor Pendaftaran Kenderaan PURCHASE RESTRICTION (LITRES) Had Nilai Kad (Liter) UPDATE CARD LIMIT Pertukaran Had Kad DAILY LIMIT (LITRES) Had Nilai Seharian (Liter) MONTHLY LIMIT (LITRES) Had Nilai Bulanan (Liter) 1) 2) 3) *SKDS / DS NO : STEP 1 – FILL IN YOUR COMPANY / INDIVIDUAL DETAILS (MARKED * IS COMPULSORY Langkah 1 - Sila Isi Butiran Syarikat / Individu (Bertanda * Wajib Diisi) STEP 2 – CHOOSE TYPE OF REQUEST (WRITE CLEARLY IN BLOCK LETTERS) Langkah 2 - Pilih Jenis Permohonan (Sila Tulis Menggunakan Huruf Besar ) STEP 3 - AUTHORIZATION (COMPULSORY) Langkah 3 - Pengesahan (Wajib Diisi) Cop Rasmi Syarikat (Jika Perlu) STEP 4 – SEND TO US Langkah 4 - Hantar * I/C NO (No Kad Pengenalan) : _____________________________ SHELL SUBSIDIZED CASH CARD REQUEST FORM BORANG PERMOHONAN KAD SHELL BERSUBSIDI SHELL MALAYSIA TRADING SDN. BHD. 196501000279 (6087-M) Customer Service Tel No: 1300-22-8181 *CONTACT NO (No Telefon) : IMPORTANT NOTES / Nota-Nota Penting * FULL NAME (Nama Penuh) : _____________________________ * SIGNATURE (Tandatangan) : _____________________________ * NAME/COMPANY NAME : (Nama Atau Nama Syarikat) * PERSON IN CHARGE NAME (Pegawai Bertanggungjawab) CANCEL & REPLACE Penggantian Kad RE-SEND PIN Isu Pin ADD NEW CARD Kad Baru CANCEL ONLY Pembatalan Kad EMAIL / E-mel: [email protected] FAX / Faks: 1300-82-8283 OFFICIAL COMPANY STAMP (If Applicable) 1. Incomplete form will not be processed / Borang yang tidak lengkap tidak akan diproses 2. For any changes of mailing address, please fill up the Shell Subsidized Cash Card Update Form (Refer page 2) / Untuk sebarang pertukaran alamat surat-menyurat, sila isi Borang Kemaskini Kad Shell Bersubsidi (Rujuk muka surat 2) 3. For data privacy, please visit / Untuk privasi data, sila layari http://www.shell.com.my/pdpa _____________________________________ _____________________________________

Transcript of SHELL MALAYSIA TRADING SDN. BHD. SHELL ......BORANG KEMASKINI KAD SHELL BERSUBSIDI STEP 1 – FILL...

Page 1: SHELL MALAYSIA TRADING SDN. BHD. SHELL ......BORANG KEMASKINI KAD SHELL BERSUBSIDI STEP 1 – FILL IN YOUR COMPANY / INDIVIDUAL DETAILS (MARKED * IS COMPULSORY) Langkah 1- Sila Isi

(Tarikh)

* TYPE OF REQUEST (√) * Jenis Permohonanan (√)

*CARDHOLDER'S NAME (SKDSxxxxxxxxxx) / CARD NO(Max 22 characters)

*Nama Tertera Pada Kad (SKDSxxxxxxxxxx) / Nombor Kad Shell(Maksimum 22 huruf)

*VEHICLE REGISTRATIONNUMBER

*Nombor PendaftaranKenderaan

PURCHASE RESTRICTION (LITRES) Had Nilai Kad (Liter)

UPD

ATE

CA

RD L

IMIT

Pe

rtuk

aran

Had

Kad

DAILY LIMIT (LITRES)Had Nilai

Seharian (Liter)

MONTHLY LIMIT (LITRES)Had Nilai

Bulanan (Liter)

1)

2)

3)

*SKDS / DS NO :

STEP 1 – FILL IN YOUR COMPANY / INDIVIDUAL DETAILS (MARKED * IS COMPULSORYLangkah 1 - Sila Isi Butiran Syarikat / Individu (Bertanda * Wajib Diisi)

STEP 2 – CHOOSE TYPE OF REQUEST (WRITE CLEARLY IN BLOCK LETTERS) Langkah 2 - Pilih Jenis Permohonan (Sila Tulis Menggunakan Huruf Besar)

STEP 3 - AUTHORIZATION (COMPULSORY) Langkah 3 - Pengesahan (Wajib Diisi)

Cop Rasmi Syarikat (Jika Perlu)

STEP 4 – SEND TO USLangkah 4 - Hantar

* I/C NO (No Kad Pengenalan) : _____________________________

SHELL SUBSIDIZED CASH CARD REQUEST FORMBORANG PERMOHONAN KAD SHELL BERSUBSIDI

SHELL MALAYSIA TRADING SDN. BHD. 196501000279 (6087-M)Customer Service Tel No: 1300-22-8181

*CONTACT NO (No Telefon) :

IMPORTANT NOTES / Nota-Nota Penting

* FULL NAME (Nama Penuh) : _____________________________

* SIGNATURE (Tandatangan) : _____________________________

* NAME/COMPANY NAME :(Nama Atau Nama Syarikat)

* PERSON IN CHARGE NAME(Pegawai Bertanggungjawab)

CAN

CEL

& R

EPLA

CE

Peng

gant

ian

Kad

RE-S

END

PIN

Isu

Pin

ADD

NEW

CAR

D Ka

d Ba

ru

CAN

CEL

ON

LY

Pem

bata

lan

Kad

EMAIL / E-mel: [email protected]

FAX / Faks: 1300-82-8283OFFICIAL COMPANY STAMP (If Applicable)

1. Incomplete form will not be processed / Borang yang tidak lengkap tidak akan diproses2. For any changes of mailing address, please fill up the Shell Subsidized Cash Card Update Form (Refer page 2) / Untuk sebarang pertukaran alamat surat-menyurat, sila isi Borang Kemaskini

Kad Shell Bersubsidi (Rujuk muka surat 2)3. For data privacy, please visit / Untuk privasi data, sila layari http://www.shell.com.my/pdpa

_____________________________________

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Page 2: SHELL MALAYSIA TRADING SDN. BHD. SHELL ......BORANG KEMASKINI KAD SHELL BERSUBSIDI STEP 1 – FILL IN YOUR COMPANY / INDIVIDUAL DETAILS (MARKED * IS COMPULSORY) Langkah 1- Sila Isi

CHANGE OF MAILING ADDRESS Pertukaran Alamat Surat - Menyurat

* NAME/COMPANY NAME :(Nama Atau Nama Syarikat)

* PERSON IN CHARGE NAME :(Pegawai Bertanggungjawab)

*SKDS / DS NO :

*CONTACT NO (No Telefon) :

DATE:

SHELL SUBSIDIZED CASH CARD UPDATE DETAILS FORM BORANG KEMASKINI KAD SHELL BERSUBSIDI

STEP 1 – F ILL IN YOUR COMPANY / INDIVIDUAL DETAILS (MARKED * IS COMPULSORY)Langkah 1- Si la Is i But iran Syarikat / Individu (Bertanda * Wajib Diis i )

STEP 2 – UPDATE INDIVIDUAL DETAIL (WRITE CLEARLY IN BLOCK LETTERS)Langkah 2 - Kemaskini Maklumat Individu (Si la Tul is Menggunakan Huruf Besar )

Address (Alamat) : _____________________________________________

_____________________________________________

: _____________________________________________

: _____________________________________________

: _____________________________________________

City (Bandar)

State (Negeri)

Postal Code (Poskod)

CHANGE OF CONTACT DETAILS Pertukaran Maklumat Untuk Dihubungi

House/Office Phone (Tel Rumah/Pejabat)

Mobile Phone(Tel Bimbit)

Fax Number(No Faks)

: +60________________________

: +60________________________

: +60________________________

: _______________________________________________

STEP 3 - AUTHORIZATION (COMPULSORY) Langkah 3 - Pengesahan (Wajib Diisi)

STEP 4 – SEND TO USLangkah 4 - Hantar

* I/C NO (No Kad Pengenalan) : _____________________________

* SIGNATURE (Tandatangan)

* FULL NAME (Nama Penuh)

: _____________________________

: _____________________________

IMPORTANT NOTES / Nota-Nota Penting

1. Incomplete form will not be processed / Borang yang tidak lengkap tidak akan diproses2. For data privacy, please visit / Untuk privasi data, sila layari http://www.shell.com.my/pdpa

EMAIL / E-mel: [email protected]

FAX / Faks: 1300-82-8283

Email Address(Alamat E-mel)

Cop Rasmi Syarikat (Jika Perlu)OFFICIAL COMPANY STAMP (If Applicable)

SHELL MALAYSIA TRADING SDN. BHD. 196501000279 (6087-M)Customer Service Tel No: 1300-22-8181

(Tarikh)

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